Carol Gourneau, LMSW | |
1 Hospital Road, Box 160, Belcourt, ND 58316-0160 | |
(701) 477-8437 | |
(701) 477-8410 |
Full Name | Carol Gourneau |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1 Hospital Road, Belcourt, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942352927 | NPI | - | NPPES |
01063 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2681 (North Dakota) | Primary |
Entity Name | Quentin N Burdick Comprehensive Health Care Facility |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052 |
Mailing Address | Practice Location Address |
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Carol Gourneau, LMSW 1 Hospital Road, Box 160, Belcourt, ND 58316-0160 Ph: (701) 477-8437 | Carol Gourneau, LMSW 1 Hospital Road, Box 160, Belcourt, ND 58316-0160 Ph: (701) 477-8437 |
Corelle Allery, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 Hospital Loop, Belcourt, ND 58316 Phone: 701-477-8268 | |
Jona Rae Peltier, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1015 Hospital Rd Suite A, Belcourt, ND 58316 Phone: 701-477-0455 Fax: 701-477-0457 | |
Ms. Joni Rae Henry, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 Hospital Loop, Belcourt, ND 58316 Phone: 701-477-6111 Fax: 701-477-2500 |